| NPI | 1063201820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 126021) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: KY 126021) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |